Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Best Home Care, Inc (NPI 1235446725)

Field	Value
Entity Type	Organization
Organization	Best Home Care, Inc
Address	879 Bergen Ave Ste 200
City	Jersey City
State	NJ
ZIP	07306
Taxonomy	Home Health Agency
NPI Enumerated	September 7, 2010

Payer Source	Total Paid
Medicaid	$122.8M
Medicare	$0

Key Findings

BEST HOME CARE, INC is effectively a Medicaid-only biller: there is no Medicare billing on file while total Medicaid revenue is $122.8M. The provider was enumerated (registered) on 2010-09-07 (~16 years ago), indicating a long-standing presence in the market despite the absence of Medicare claims.

Revenue is extremely concentrated within a single service family: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, T1019, generates $122.7M (99.9% of total Medicaid revenue). This concentration indicates the business is highly dependent on one service code for nearly all of its Medicaid receipts.

The code mix signals a labor-intensive personal-care operation: T1019 (Personal care services, per 15 minutes…) accounts for 1.3M claims with an average paid/claim of $98, which aligns with high-volume, recurring personal care visits typically delivered by aides or home health support staff. Given this profile, the organization appears focused on delivering minute-based personal care rather than procedure-driven clinical services.

Competitive standing on the leading code is strong within the state: T1019 ranks #8 of 276 providers in-state (97th percentile) and is described as notably above typical state volume for this code, positioning the provider as a major statewide participant for personal care services. That rank, coupled with the 1.3M-claim volume, suggests market leadership in this specific Medicaid service line.

Secondary Medicaid codes contribute negligible revenue: T1001 (Nursing assessment / evaluation) produces $59.7K in revenue across 1.8K claims and T1005 (Respite care services, up to 15 minutes) produces $23.3K across 194 claims, each representing 0.0% of total Medicaid revenue. These figures indicate that nursing assessment and respite are ancillary to the provider's core personal-care operation rather than material revenue drivers.

Statistical standing of the secondary codes is muted and mixed: T1001 ranks #8 of 63 providers in-state (89th percentile) but is labeled as typical, unremarkable volume for the code, indicating it is not an outlier revenue driver despite a relatively high rank; T1005 ranks #34 of 42 providers (20th percentile) and is likewise characterized as typical, unremarkable volume, signaling modest participation in respite services.

The combination of long tenure (enumerated 2010-09-07 (~16 years ago)), near-total Medicaid dependence, and extreme concentration in T1019 suggests operational exposure to Medicaid policy or rate changes affecting that specific code. Because T1019 represents 99.9% of Medicaid revenue, any shifts in state coverage, reimbursement, or utilization for that code could materially affect overall revenue.

From a payer/competitive analysis perspective, BEST HOME CARE, INC should be treated as a specialized, high-volume provider of personal care under Medicaid rather than a diversified home health agency: its billing footprint is dominated by one minute-based personal care code with very limited Medicare engagement and minimal revenue from other Medicaid codes. This profile has implications for network contracting, utilization review, and monitoring focused primarily on T1019 activity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,251,870	$100	$122.7M
T1001	Nursing assessment / evaluation	1,760	$30	$59.7K
T1005	Respite care services, up to 15 minutes	190	$120	$23.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Best Home Care, Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8	280	31,400	$90	$15.4M
T1005	Respite care services, up to 15 minutes	34	40	830	$100	$313.7K
T1001	Nursing assessment / evaluation	8	60	180	$40	$31.6K

Nearby Providers

Other providers in the same ZIP code as Best Home Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hudson Hospital Opco LLC	NJ	General Acute Care Hospital	$0	$52.6M
Nj Golden Home Care	NJ	Home Health Agency	$0	$30.5M
Saleem Mahmood	NJ	Internal Medicine Physician	$520.4K	$856.8K
Ariz Mehta	NJ	Interventional Pain Medicine Physician	$1.2M	$173.2K
Merwin Richard	NJ	Cardiovascular Disease Physician	$1M	$231.1K
Mallik Patel	NJ	Family Medicine Physician	$1.2M	$0
Ashraf Raslan	NJ	Student in an Organized Health Care Education/Training Program	$1.1M	$0
Jayeshkumar Patel	NJ	Nephrology Physician	$358K	$420.2K
Mariem Abedullah	NJ	Family Nurse Practitioner	$672.2K	$0
Anthony Panariello	NJ	Ophthalmology Physician	$594.2K	$0

Best Home Care, Inc — Billing Profile & Reimbursement Data

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Best Home Care, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References